Prof. Dr. Satish Kumar Panda, MD (Ay), PhD
Principal, Kritika Ayurvedic Medical College & Hospital, Bareilly, Uttar Pradesh.
1. संचय (Accumulation Stage)
स्थान: दोष स्वस्थाने संचितः (Doshas accumulate in their primary sites – Vāta in colon, Pitta in small intestine, Kapha in stomach).
लक्षणाणि (Symptoms):
- स्तब्धता, गौरवम्, आलस्यम् (Heaviness, lethargy).
- दोषानुरूप विद्वेषः (Aversion to similar qualities, e.g., cold aversion in Kapha).
- पूर्णकोष्ठता (Fullness in abdomen).
चिकित्सा (Management): - हेतु विपरीतम्: Opposite diet/lifestyle (e.g., warm food for Kapha).
- लघु आहार: Fasting or light meals (e.g., Yavagu).
- स्नेहन-स्वेदन: Mild oleation if needed.
2. प्रकोप (Aggravation Stage)
स्थान: दोषः स्वस्थाने प्रकुप्यति (Doshas become vitiated in their sites).
लक्षणाणि:
- वात: कोष्ठशूल, आटोप (Colic, distension).
- पित्त: अम्लिका, दाह (Acidity, burning).
- कफ: छर्दि, आरोचक (Nausea, anorexia).
चिकित्सा: - संशमन: Dosha-specific herbs (e.g., Hing for Vāta, Amalaki for Pitta).
- पंचकर्म संशोधनम्: If severe (e.g., Virechana for Pitta).
3. प्रसर (Spread Stage)
स्थान: दोषाः शरीरे प्रसरन्ति (Doshas circulate systemically).
लक्षणाणि:
- वात: विमार्गगमनम् (Abnormal movement – joint pain, tremors).
- पित्त: धूमायन, दाह (Burning sensation, inflammation).
- कफ: आलस्य, शीत (Lethargy, coldness).
चिकित्सा: - दोष प्रत्यनीक: Block spread with herbs like Guduchi (immunomodulator).
- स्रोतशोधन: Clean channels (e.g., drinking warm water for Kapha).
4. स्थानसंशय (Localization Stage)
स्थान: दोषाः दुर्बल धातौ स्थित्वा (Doshas lodge in weak tissues).
लक्षणाणि: पूर्वरूपाणि (Prodromal symptoms – vague pain, fatigue).
चिकित्सा:
- दोष-दूष्य विचार: Treat based on affected tissue (e.g., Asthi Sandhān for bone weakness).
- उष्ण-तीक्ष्ण औषध: Deep-acting therapies (e.g., Agni karma for joint pain).
5. व्यक्त (Manifestation Stage)
स्थान: रोगः पूर्णरूपेण प्रकटः (Full disease appears).
लक्षणाणि:
- ज्वरः (Fever), अतिसार (Diarrhea), कुष्ठ (Skin disease).
चिकित्सा: - व्याधि-विशिष्ट चिकित्सा: Disease-specific treatment (e.g., Kutaja for diarrhea).
6. भेद (Chronicity/Complications Stage)
स्थान: रोगः दीर्घकालीनः (Chronic disease with complications).
लक्षणाणि:
- दुष्टव्रण (Non-healing ulcers), सन्धिवात (Advanced arthritis).
चिकित्सा: - रसायन/क्षारसूत्र: Rejuvenation or surgical measures.
Key Clinical Takeaways
- प्रतिबंधक चिकित्सा (Preventive): Treat in संचय/प्रकोप stages to avoid disease.
- समय महत्त्वम् (Timing): Early intervention = better prognosis.
- दोष-स्थान-बल अवलोकनम्: Assess dosha, tissue, and patient strength before treatment.
सूत्रम्: “चये हेतुविपरीतं, कोपे दोषविपरीतम्, प्रसरे दोषप्रत्यनीकम्”
(In accumulation, oppose cause; in aggravation, pacify dosha; in spread, block dosha movement.)